Organization Active NPI

Upper Darby Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Upper Darby, PA
National Provider Identifier
1790052702
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482231 Issued in PA
Legal business name
UPPER DARBY FAMILY PHARMACY LLC
Practice address
6756 Market St
Upper Darby, PA 19082-2432
Phone
(610) 352-2121
Fax
(610) 352-2204
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Canh Nguyen, RPH
Title
President
Phone
(610) 352-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482231 PA Primary

Addresses

Primary practice location

6756 Market St
Upper Darby, PA 19082-2432

Mailing address

6756 Market St
Upper Darby, PA 19082-2432
Phone (610) 352-2121

Other identifiers 1

IdentifierTypeStateIssuer
PP482231OtherPAPHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000718 PA DME Supplier - Pharmacy 3375790132 Practice locations: Upper Darby, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Upper Darby Family Pharmacy6756 Market St, Upper Darby, PA 19082-2432(610) 352-2121 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 7, 2012

National Provider Directory

National Provider Directory

Locations

6756 Market St
Upper Darby, PA 19082
Phone (610) 352-2121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1790052702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822432",
            "telephone_number": "610-352-2121",
            "fax_number": "610-352-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6756 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822432",
            "telephone_number": "610-352-2121",
            "fax_number": "610-352-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER DARBY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-352-2121",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP482231",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.